{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:33:26Z","timestamp":1790876006508,"version":"4.1.0"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n                    Ziel Die Geburtseinleitung in fr\u00fchen Schwangerschaftswochen ab\n                    34+0 SSW wird h\u00e4ufig in Verbindung mit einem erh\u00f6hten\n                    Risiko f\u00fcr einen Kaiserschnitt gebracht. Zuletzt wies der PPROMT Trial\n                    auf eine erh\u00f6hte Kaiserschnitt-Rate hin, wenn wegen einem fr\u00fchen\n                    vorzeitigen Blasensprung (PPROM) die Schwangerschaft vorzeitig beendet wird.\n                    Ziel dieser Untersuchung war daher zu \u00fcberpr\u00fcfen, wie die\n                    Effektivit\u00e4t einer Geburtseinleitung nach einem PPROM mit 34 und 35 SSW\n                    im Vergleich zu einem h\u00f6heren Gestationsalter ist.<\/jats:p><jats:p>\n                    Material und Methodik In diese historische Kohortenstudie wurden\n                    Geburtseinleitungen ab 34+0 SSW wegen eines PPROM an zwei\n                    Perinatalzentren eingeschlossen. Geburtseinleitungen mit 34 und 35 SSW (Gruppe\n                    1) wurden mit denen zwischen 36+0 und 36+6 SSW (Gruppe 2)\n                    respektive 37+0 bis 37+6 SSW (Gruppe 3) verglichen. Die\n                    Geburtseinleitung erfolgte 12\u201324 Stunden nach dem Blasensprung, und eine\n                    antibiotische Prophylaxe wurde routinem\u00e4\u00dfig gegeben. Der\n                    prim\u00e4re Zielparameter war die Kaiserschnitt-Rate.<\/jats:p><jats:p>\n                    Ergebnisse Es gab signifikant mehr Kaiserschnitte in der Gruppe 3 im\n                    Vergleich zur Gruppe 2 (7\u2009vs. 25%, p=0,0136), jedoch\n                    konnte dieses Ergebnis in der univariablen und multiplen Regressionsanalyse\n                    nicht best\u00e4tigt werden. Hierbei zeigte sich kein signifikanter Einfluss\n                    des Gestationsalters (Gruppenzugeh\u00f6rigkeit) auf die Kaiserschnitt-Rate.\n                    Signifikante Parameter, die dieses Risiko erh\u00f6hten, waren der Body mass\n                    index und der Bishop score.<\/jats:p><jats:p>\n                    Schlussfolgerung Die Geburtseinleitung ab 34+0 SSW wegen eines\n                    fr\u00fchen vorzeitigen Blasensprungs ist nicht mit einer erh\u00f6hten\n                    Rate an Kaiserschnitten assoziiert.<\/jats:p>","DOI":"10.1055\/a-1110-1132","type":"journal-article","created":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T00:16:24Z","timestamp":1583194584000},"page":"269-274","source":"Crossref","is-referenced-by-count":7,"title":["Erh\u00f6ht die Geburtseinleitung wegen eines fr\u00fchen\n                    vorzeitigen Blasensprungs ab 34+0 SSW das Risiko f\u00fcr einen\n                    Kaiserschnitt?"],"prefix":"10.1055","volume":"224","author":[{"given":"Alexander","family":"Puhl","sequence":"additional","affiliation":[{"name":"Frauenklinik, Klinikverbund Kempten-Oberallg\u00e4u gGmbH,\n                    Kempten"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christel","family":"Weiss","sequence":"additional","affiliation":[{"name":"Medizinische Statistik, Biomathematik und Informationsverarbeitung,\n                    Universit\u00e4tsmedizin Mannheim, Universit\u00e4t Heidelberg,\n                    Mannheim"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Schneid","sequence":"additional","affiliation":[{"name":"Frauenklinik, Klinikverbund Kempten-Oberallg\u00e4u gGmbH,\n                    Kempten"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Zahn","sequence":"additional","affiliation":[{"name":"Frauenklinik, Klinikverbund Kempten-Oberallg\u00e4u gGmbH,\n                    Kempten"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Kraft","sequence":"additional","affiliation":[{"name":"Frauenklinik, Universit\u00e4tsklinikum Ulm, Ulm"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6174-5650","authenticated-orcid":false,"given":"Jutta","family":"Pretscher","sequence":"additional","affiliation":[{"name":"Gyn\u00e4kologie und Geburtshilfe, Universit\u00e4tsklinikum\n                    Erlangen Frauenklinik, Erlangen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Faschingbauer","sequence":"additional","affiliation":[{"name":"Frauenklinik, Universit\u00e4tsklinikum Erlangen,\n                    Erlangen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias W.","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Frauenklinik, Universit\u00e4tsklinikum Erlangen,\n                    Erlangen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Kehl","sequence":"additional","affiliation":[{"name":"Frauenklinik, Universit\u00e4tsklinikum Erlangen,\n                    Erlangen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,3,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/0002-9378(70)90378-9","article-title":"Premature rupture of the fetal membranes. 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